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首页> 外文期刊>Surgical Endoscopy >Laparoscopic extraction of a swallowed fork in a patient first diagnosed with bulimia nervosa.
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Laparoscopic extraction of a swallowed fork in a patient first diagnosed with bulimia nervosa.

机译：首次被诊断患有神经性贪食症的患者的腹腔镜下吞咽的叉子。

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Swallowed foreign bodies are relatively common problem. The first reports date back about 3000 years. The first medical report was done by Mestivier in 1759. Several studies show that up to 90% of the foreign bodies (FBs) pass spontaneously and 10% to 20% require an endoscopic removal. Surgical intervention is only indicated in approximately 1% of the cases. Surgical intervention is only necessary, for example, when large or sharp FBs are involved because of the potential risk of perforation and obstruction. The surgical therapy can be carried out by means of laparotomy or laparoscopy; laparoscopy has to be given the first priority whenever possible. The advantages of a laparoscopic procedure are well-known: reduced postoperative pain, better lung function, less postoperative bowel obstruction, shorter hospital stay, and faster reconvalescence. We report an unusual case of an unintentional ingested fork, which required a laparoscopic extraction using three trocars. The 20-year-old female patient was then subsequently diagnosed with bulimia nervosa for the first time during her hospital stay. The patient was discharged home on the fourth postoperative day after an unremarkable course.
机译：吞入异物是相对普遍的问题。第一份报告可以追溯到3000年前。 Mestivier在1759年完成了第一份医学报告。多项研究表明，高达90％的异物（FBs）自发通过，而10％至20％的患者需要进行内窥镜检查。仅约1％的病例需要手术干预。仅当涉及较大或尖锐的FB时才需要手术干预，因为存在穿孔和阻塞的潜在风险。手术治疗可以通过剖腹术或腹腔镜进行。尽可能将腹腔镜检查放在第一位。腹腔镜手术的优势是众所周知的：减轻术后疼痛，改善肺功能，减少肠梗阻，缩短住院时间，加快恢复速度。我们报告了一个意外情况，意外吞下了叉子，需要使用三个套管针进行腹腔镜提取。随后，这名20岁的女性患者在住院期间首次被诊断出神经性贪食症。病程不明显后，患者在术后第四天出院。

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